Graduate and Professional Programs APPLICATION The Jack C. Massey Graduate School of Business

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1 Graduate and Professional Programs APPLICATION The Jack C. Massey Graduate School of Business

2 Applying for Admission Application Steps for Accounting (MAcc), Accelerated, Healthcare and Professional MBA Applicants: 1. Complete the entire Graduate and Professional Programs Degree Seeking Application thoroughly. An incomplete application cannot be considered and will be returned to the applicant. Please note: Accelerated and Healthcare MBA candidates are only admitted for fall semesters. 2. Submit the non-refundable application fee of $50. Checks or money orders should be made payable to Belmont University. 3. Submit two recommendations (business and/or academic related). Have two people (non-relatives) complete a recommendation form (enclosed in this application packet). 4. Submit official transcripts from all colleges and/or universities attended, even those from which transfer credits were received. For a transcript to be official, it may not be marked Issued to Student or have previously been opened. All official transcripts must be on file with the Office of Admissions before an admissions decision can be made. In addition, applicants with postsecondary course work from foreign institutions must have their transcripts evaluated by a foreign credential evaluation service such as, World Education Services (www.wes.org) or Joseph Silny (www.jsilny.com). The evaluation and all official transcripts must be submitted. Please allow 4-6 weeks for all official transcripts to be received. 5. Submit official GMAT test scores (GRE scores will aslo be considered). The Massey Graduate School of Business offers GMAT Math Review and Strategy courses three times per year to help you obtain your best possible score. (*The Sylvan Testing Center will give students an unofficial score on the test date. Please fax or your unofficial score as soon as you receive it. We can work with the unofficial results for interviewing purposes. Our fax number is Our address is Test scores must have been earned within the last five years. An official, electronic score report from the GMAT site is accessible by our office within 5 to 7 days. Allow 4-6 weeks for official test scores (hard copy) to be received. 6. Submit a one to two page essay on your personal and professional goals and how a degree from The Jack C. Massey School will help you achieve these goals. 7. Submit a current resume. Professional MBA applicants are required to complete at least two years of full-time work experience before starting the program. MACC and Accelerated MBA applicants may enter directly from an undergraduate program. Healthcare MBA applicants are required to have full time work experience within the healthcare industry. International Applicants 1. International applicants whose native language is not English must demonstrate proficiency in the English language by submitting official TOEFL scores (required minimum of 550 PBT or 80 ibt) or by successful completion of ELS Language Center Level International applicants with college level course work from foreign institutions must have their transcripts evaluated by a credential evaluation service such as World Education Services (www.wes.org) or Joseph Silny & Associates (www.jsilny.com). 3. In order to be issued an I-20 for the desired entry term, international applicants must be admitted no later than October 1, March 1 or June 1 in order to enroll for the spring, summer or fall terms respectively. Please send all application materials to: Belmont University Office of Admissions 1900 Belmont Blvd. Nashville, TN Fax Questions about your application and/or requirements should be directed to: The Jack C. Massey Graduate School of Business 1900 Belmont Blvd. Nashville, TN Phone * Track/Concentration Options Listed by Program Please select from this list when entering Track/Concentration on Degree Seeking Application Accelerated MBA = Accounting, Business Negotiation and Mediation, Entrepreneurship, Finance, General Business, Healthcare Management, Marketing, Music Business and Strategic Human Resources Healthcare MBA = Not Applicable Professional MBA = Accounting, Business Negotiation and Mediation, Corporate Finance, Entrepreneurship and Innovation Management, Entrepreneurship, Finance, General Business, Healthcare Management, Investments, Marketing, Music Business, New Venture Creation, Strategic Human Resources, Undecided Accounting = Not Applicable

3 Belmont University Degree Seeking Application for Graduate and Professional Programs Admission Applicant Information Term for which you are applying o Fall o Spring o Summer 20 Degree for which you are applying o Master of Accountancy o Master of Business Administration Program for which you are applying o Accounting (MACC) o Professional MBA (MBA) o Accelerated MBA (MBA) o Healthcare MBA (MBA) Track/Concentration* *Please see application instructions page for options Have you previously applied for admission to a Graduate or Professional Program at Belmont University? o Yes o No If yes, what program? for what term? Have you previously paid a $50 Graduate and Professional Programs application fee? o Yes o No Have you previously attended Belmont University? o Yes o No If yes, for what term? Personal Data First Name Middle Name Last Name Preferred First Name Former Last Name (if any) Soc. Sec. No. Address Mailing Address Line 1 Mailing Address Line 2 City State/Province Zip/Postal Code Country Home Phone ( ) Work Phone ( ) Cell Phone ( ) Please select your citizenship status o U.S. Citizen o Dual U.S. Citizen o Permanent U.S. Resident o Other If you are not a U.S. Citizen, please fill out the International Supplement. The following information is requested for statistical purposes only; completion is optional. Birthdate (MM/DD/YYYY) Gender o Male o Female Are you a U.S. Armed Services Veteran? o Yes o No Marital Status o Single o Married o Separated o Divorced o Remarried o Widowed Religious Preference Ethnic Background: Are you Hispanic or Latino? o Yes o No Regardless of your answer to the prior question, please check one or more of the following groups in which you consider yourself to be a member. o American Indian or Alaskan Native o Asian o Black or African American o Native Hawaiian or Other Pacific Islander o White

4 Education Information List the names and locations of all colleges/universities at which you have taken courses (including Belmont if you are a former student) and the degrees you have been awarded starting with the most recent. Please use the Additional Education Information Sheet, enclosed in this application packet, if needed. All official transcripts must be mailed directly to the Belmont University Office of Admissions from each institution, including Belmont if you are a former student. In addition, students with postsecondary course work from foreign institutions must have their transcripts evaluated by a foreign credential evaluation service such as World Education Services (www.wes.org) or Joseph Silny (www.jsilny.com). Institution Attended 1 Institution Attended 2 Institution Attended 3 Employer Information (if applicable) Are you a current Belmont employee? o Yes o No Employer Name Current Position Address City State/Province Zip/Postal Code Country Former Employer Name Address City State/Province Zip/Postal Code Country In case of emergency, notify person listed below: First Name Last Name Relationship Address City State/Province Zip/Postal Code Country Phone ( )

5 Background Information Have you ever been found responsible for a disciplinary violation at any educational institution you have attended from 9th grade (or the international equivalent) forward, whether related to academic misconduct or behavioral misconduct that resulted in a disciplinary action? These actions could include, but are not limited to: probation, suspension, removal, dismissal or expulsion from the institution. o Yes o No Have you ever been adjudicated guilty or convicted of a misdemeanor, felony or other crime? (Note that you are not required to answer yes to this question, or provide an explanation, if the criminal adjudication or conviction has been expunged, sealed, annulled, pardoned, destroyed, erased, impounded or otherwise ordered by a court to be kept confidential.) o Yes o No If you answered yes to either or both questions, please attach a separate sheet of paper that gives the approximate date of each incident, explains the circumstances and reflects on what you learned from the experience. Note: Applicants are expected to immediately notify the institutions to which they are applying should there be any changes to the information requested in this application, including disciplinary history. References Please list the name and address of two persons who know you (professionally and/or academically) and are willing to address your ability, interest and motivation for pursuing this program. Give each person a recommendation form and instruct them to return it directly to the admissions office. Your application cannot be reviewed until all references have been received I certify that all information given is complete and accurate. I understand that my failure to provide complete and accurate information may result in dismissal from the university or other appropriate disciplinary action. If admitted to Belmont University, I agree to abide by the policies and provisions stipulated in the university catalog. Signature of Applicant Date Belmont University is a Christian community. The university faculty, administration, and staff uphold Jesus as the Christ and as the measure for all things. As a community seeking to uphold Christian standards of morality, ethics and conduct, Belmont University holds high expectations of each person who chooses to join the community. In compliance with federal law, including provisions of Title IX of the Education Amendments of1972, Sections 504 of the Rehabilitation Act of 1973, Belmont University does not discriminate on the basis of race, sex, color, national or ethnic origin, age, disability, military service, or sexual orientation in its administration of education policies, programs or activities; its admissions policies; or employment. Under federal law, the university may discriminate on the basis of religion in order to fulfill its purposes. The University has appointed the Associate Dean of Students to serve as the coordinator of compliance for Title VI and Title IX issues and questions for students. Inquiries or complaints should be directed to: Dr. Becky Spurlock, Associate Dean of Students, or Visit in order to confirm individual program requirements. Please forward all materials, including a $50 application fee, to: Belmont University, Office of Admissions, 1900 Belmont Blvd., Nashville, TN , or fax to How did you learn about Belmont University s Graduate and Professional Programs? (please check all that apply) o Academic Advisor o Advertisement o Another College/University o Belmont Alumnus o Belmont Current Student o Belmont Faculty/Staff o College Fair o Employer o Friend o GRE o Internet o Letter or from Belmont o Professional Association o Publications o Other Please provide names and/or details for the source checked above: _

6 Belmont University Additional Education Information Institution Attended 4 Institution Attended 5 Institution Attended 6 Institution Attended 7

7 Belmont University International Supplement First Name Middle Name Last Name Preferred First Name Former Last Name (if any) Date of Birth (MM/DD/YYYY) Program for which you are applying Term for which you are applying o Fall o Spring o Summer 20 List any non-u.s. countries of citizenship Place of birth City/Town State/Province Country First language Primary language spoken at home If you are a Permanent U.S. Resident, list your Alien Registration # If you have another citizenship status, list your Visa Type

8 Belmont University Graduate and Professional Programs Recommendation Form This section to be completed by the applicant First Name Middle Name Last Name Preferred First Name Former Last Name (if any) Date of Birth (MM/DD/YYYY) Note to Candidate: Please enter your name above and deliver one copy of this form to two individuals who will provide you with a recommendation. Under the Family Educational Rights and Privacy Act of 1974, students enrolled at Belmont University have access to their educational records, including letters of evaluation. However, students may waive their right to see letters of evaluation, in which case the letters will be held in confidence. If the applicant has not signed the waiver below, he or she may request to see the recommendation forms after enrolling at Belmont University. I hereby o waive o do not waive my right of access to this document should I matriculate to Belmont University. Signature Date Term for which you are applying o Fall o Spring o Summer 20 Degree for which you are applying Program for which you are applying Program Track/Concentration This section to be completed by the evaluator You are completing a recommendation for an applicant to a graduate or professional program at Belmont University. Your assessment is very important to the Admissions Committee, and we greatly appreciate the time and effort on your part in giving us your appraisal of this candidate. Name Current Occupation Current Employer/Organization Address City State/Province Zip/Postal Code Phone ( ) How long have you known this applicant? In what capacity do you know this applicant? *For any of the following questions, attach additional sheet if necessary. Is there any aspect of this applicant s background that might interfere with successful completion of their graduate study? o Yes o No If yes, please specify: Please describe those qualifications, traits, or accomplishments you feel are significant in demonstrating the applicant s ability to complete the program to which he or she is applying:

9 In what areas do you think the candidate needs the most improvement? How well do you think the applicant has considered plans for graduate study? How well do you think the applicant will perform in an environment that stresses a high degree of teamwork, independent thought and action, and personal motivation? Exceptional (Top 5%) Outstanding (Top 15%) Above Average (Top 1/3) Average (Middle 1/2) Below Average (Bottom 1/3) Not Able to Rate Emotional stability o o o o o o Analytical ability o o o o o o Ability to work with others (teamwork) o o o o o o Written communication o o o o o o Oral communication o o o o o o Leadership potential o o o o o o Motivation and organization o o o o o o Ethical behavior o o o o o o Problem solving o o o o o o Intellectual ability o o o o o o Ability and propensity to talk in class o o o o o o Please complete this section ONLY IF YOU ARE EVALUATING AN APPLICANT FOR GRADUATE STUDY IN MUSIC: Music performance ability o o o o o o Knowledge of music history and theory o o o o o o Aural skills o o o o o o In regards to this student s application to graduate study at Belmont University: o Highly Recommend o Recommend o Recommend with Reservation o Do Not Recommend You may attach any additional comments you feel would help us in assessing this applicant. Please forward this form to: Belmont University, Office of Admissions, 1900 Belmont Blvd., Nashville, TN or fax to Signature Date

10 Belmont University Graduate and Professional Programs Recommendation Form This section to be completed by the applicant First Name Middle Name Last Name Preferred First Name Former Last Name (if any) Date of Birth (MM/DD/YYYY) Note to Candidate: Please enter your name above and deliver one copy of this form to two individuals who will provide you with a recommendation. Under the Family Educational Rights and Privacy Act of 1974, students enrolled at Belmont University have access to their educational records, including letters of evaluation. However, students may waive their right to see letters of evaluation, in which case the letters will be held in confidence. If the applicant has not signed the waiver below, he or she may request to see the recommendation forms after enrolling at Belmont University. I hereby o waive o do not waive my right of access to this document should I matriculate to Belmont University. Signature Date Term for which you are applying o Fall o Spring o Summer 20 Degree for which you are applying Program for which you are applying Program Track/Concentration This section to be completed by the evaluator You are completing a recommendation for an applicant to a graduate or professional program at Belmont University. Your assessment is very important to the Admissions Committee, and we greatly appreciate the time and effort on your part in giving us your appraisal of this candidate. Name Current Occupation Current Employer/Organization Address City State/Province Zip/Postal Code Phone ( ) How long have you known this applicant? In what capacity do you know this applicant? *For any of the following questions, attach additional sheet if necessary. Is there any aspect of this applicant s background that might interfere with successful completion of their graduate study? o Yes o No If yes, please specify: Please describe those qualifications, traits, or accomplishments you feel are significant in demonstrating the applicant s ability to complete the program to which he or she is applying:

11 In what areas do you think the candidate needs the most improvement? How well do you think the applicant has considered plans for graduate study? How well do you think the applicant will perform in an environment that stresses a high degree of teamwork, independent thought and action, and personal motivation? Exceptional (Top 5%) Outstanding (Top 15%) Above Average (Top 1/3) Average (Middle 1/2) Below Average (Bottom 1/3) Not Able to Rate Emotional stability o o o o o o Analytical ability o o o o o o Ability to work with others (teamwork) o o o o o o Written communication o o o o o o Oral communication o o o o o o Leadership potential o o o o o o Motivation and organization o o o o o o Ethical behavior o o o o o o Problem solving o o o o o o Intellectual ability o o o o o o Ability and propensity to talk in class o o o o o o Please complete this section ONLY IF YOU ARE EVALUATING AN APPLICANT FOR GRADUATE STUDY IN MUSIC: Music performance ability o o o o o o Knowledge of music history and theory o o o o o o Aural skills o o o o o o In regards to this student s application to graduate study at Belmont University: o Highly Recommend o Recommend o Recommend with Reservation o Do Not Recommend You may attach any additional comments you feel would help us in assessing this applicant. Please forward this form to: Belmont University, Office of Admissions, 1900 Belmont Blvd., Nashville, TN or fax to Signature Date

12 Belmont University Graduate and Professional Programs Application Fee Form First Name Middle Name Last Name Preferred First Name Former Last Name (if any) Date of Birth (MM/DD/YYYY) Program for which you are applying Term for which you are applying o Fall o Spring o Summer 20 Instructions: The $50 non-refundable application fee may be paid by check, money order or credit card. Check or money orders should be made payable to Belmont University. Please indicate your method of payment: o Check (Payable to Belmont University) o Money Order (Payable to Belmont University) o VISA o MasterCard o Discover o American Express If you are paying by credit card, complete the credit card authorization below Card Number: Expiration Date (MM/YYYY): Amount to be charged: $50 Cardholder s Name Cardholder s Signature

13 The Jack C. Massey Graduate School of Business 1900 Belmont Blvd. Nashville, TN Belmont University does not discriminate on the basis of race, sex, color, national or ethnic origin, age, disability, military service or sexual orientation. ADM-13157

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